Andrea N Machnacki, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Peoria, Illinois. Her current practice location is
3626 N Sheridan Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 308-5100.
Andrea N Machnacki is licensed to practice in Illinois (license number 209023933) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790453702.
Physician's Profile
Full Name | Andrea N Machnacki |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3626 N Sheridan Rd, Peoria, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790453702
- Provider Enumeration Date: 09/03/2021
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082003876
- Enrollment ID: I20211117000673
Medical Identifiers
Medical identifiers for Andrea N Machnacki such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790453702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 209023933 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209023933 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea N Machnacki allows following entities to bill medicare on her behalf.
Entity Name | Realhealth Advanced Care Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710371935 PECOS PAC ID: 5890016836 Enrollment ID: O20150603000968 |
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Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea N Machnacki is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Andrea N Machnacki, APRN, CNP 11320 N Sycamore Creek Dr, Dunlap, IL 61525-2518 Ph: (734) 637-0186 | Andrea N Machnacki, APRN, CNP 3626 N Sheridan Rd, Peoria, IL 61604-1401 Ph: (309) 308-5100 |
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